740425.pdf/C
FIRE ZONE (TYPE OF CONSTRUCTION STREET IMPROVED
YES 0 NO
j
SPECIAL INSPECTOR REQUIRED
❑ YES NO
USE
PERMIT 740425
ElGA.
i
THIS SITE IS LOCATED IN THE CITY
j
BUILDING DEPARTMENT
Applleant FIII
ZONE
NUMBER
OF UE DLLOCAL SALES TAX
SHOULD 8E CODED 3104
j
`-=
PERMIT APPLICATION
(Ineldo IiesYy Lines
REMARKS
DEMOLISH � WALL
•'.
ALTER EXCAVATE I� l r%NCE
Fence requirements
- section 12.14.040
ADDRESS
�
❑ On FILL L.—{ (..........x_........F,
NAME 1011 NAME OF BUSINESS)/rJ"
El REPAIR ❑ PRE-
O
attached.
INSP.M POOL
1
fje s,�' p ye
PERM198IB
IAT COVERAGE
ACT A1, q
LOT COVERAGE
i-
DWELLING
/
A
Id 4fAtu 4•i .ami
UNITS
PERMISSIBLE HEIGHT
PROPOSED HEIGHT
Valuation Fee Rcaclpt No.
o x$915e w .
CITY
TELEP ONE NUMBER
ACTUAL LOT AREA
TOTAL BLDG. AREA
4
Edi
BUILDING
4 PROPOSED USE
REQUIRED YARDS
PROPOSED YARDS
PLUMBING
NAME
FRONT BIDE
REAR FRONT SIDE REAR
PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
O
FENCE
SIGN
N7 ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
RETAINING WALL
�.
N
F
0 YES � NO PERMIT NUMBER
i;
DEMOLITION
PLANNING DEPT. APPROVAL
PRE -MOVE INSPECTION
CITY
TELEPHONE NUMBER
EXCAVATION OR FILL
I
i
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application: that the in-
STREET R/W
Zoo
formation given is correct: and that I am the owner, or the duty author-
•
Ired agent of the owner. I agree to comply with city and elate laws r.go.
EXISTING STREET R/W ............FT.
DEFICIENCY THIS PROPERTY
,
NAME
will be employed In violation of the Labor Code of the Slats of Washington
THIS PERMIT
This application is not a perinit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Excapt DEMOLITIONS which
COMP. PLAN ST. R/W ............FT.
............F7'.
¢7
shall
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be ca.
ICIlo
o wledged in space provided.
r.,
omr, calmxr� FPJ�C'e
CLQ
REMARKS
ATURE (O VNER OR AGENT) DATE SIONEU
INSPECTION
DfR R'S lONATUR81
C7 All
Q
DEPARTMENT
O
x
CITY OF
X
GN
EDMONDS
DATE—
TENOTE:
CHECKED BY
CH^
NOTE: Applicant Subject to Plan Cbeek Fee
CITY
TELEPHONE NUMBER
�
/ Y41—
I
1 (
Any construction on Ilia public domain (curbs, sidewalks, drh'eways,
8 L�rry Welbc�
METER SIZE
SERVICE SIZE CLEARANCE
C KED HY
STAT LICENSE NUMBER
CITY LICENSE NUMBER
I
I
I �
a�I
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
YPE CONNECTION
VERIFIED BY
I
11f
(Or
y
PERC, TEST
PERMIT NO
Id
I
WQ
REMARKS
in
/C
FIRE ZONE (TYPE OF CONSTRUCTION STREET IMPROVED
YES 0 NO
j
SPECIAL INSPECTOR REQUIRED
❑ YES NO
OCCUPANCY GROUP
ElGA.
CHECKED BY
THIS SITE IS LOCATED IN THE CITY
LINEwPLAN
[L.I.ENTIAL
N -RESIDENTIAL SIGN
OF UE DLLOCAL SALES TAX
SHOULD 8E CODED 3104
ADD RETAINING
REMARKS
DEMOLISH � WALL
•'.
ALTER EXCAVATE I� l r%NCE
Fence requirements
- section 12.14.040
�
❑ On FILL L.—{ (..........x_........F,
El REPAIR ❑ PRE-
O
attached.
INSP.M POOL
NUMBER OF STORIES NUMBER Oil
DWELLING
UNITS
NATURE OF W TO BE JDONE
Valuation Fee Rcaclpt No.
rum Check No... ..................
4
.�,
BUILDING
4 PROPOSED USE
j
PLUMBING
aPLOT
PLAN (Indicate Building setbacks, abutting streets)
HEAT A GAS LINE
O
FENCE
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
-
EXCAVATION OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application: that the in-
Zoo
formation given is correct: and that I am the owner, or the duty author-
Ired agent of the owner. I agree to comply with city and elate laws r.go.
ATTENTION
APPLICATION APPROVAL
lating construction; and In doing the work authorized thereby, no person
will be employed In violation of the Labor Code of the Slats of Washington
THIS PERMIT
This application is not a perinit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit limit One Year (Excapt DEMOLITIONS which
ONLY THE WORK NOTED
ut and fees are aid, and receipt is Etc -
P e-
shall
shall be completed In ninety day.; MOVED -IN BUILDINGS shall be ca.
ICIlo
o wledged in space provided.
plated In six months.)
ATURE (O VNER OR AGENT) DATE SIONEU
INSPECTION
DfR R'S lONATUR81
DEPARTMENT
CITY OF
1
EDMONDS
DATE—
TENOTE:
NOTE: Applicant Subject to Plan Cbeek Fee
775-2525
I
This Permit Nn'en trgrN to he done on private property ONLY.
Any construction on Ilia public domain (curbs, sidewalks, drh'eways,
marquees, etc.) will require .,pouts pe—N.1in.
y .: �...t .>...
y/
flan Check No .....................
-. -.
-- --
Z
4
j
BUILDING
T
[yam
4 PROPOSED USE
a7,
O irvmsET2 7f•
i
U _
BUILDING
DEPARTMENT
AlipllrantFlu
NE
PLOT PLAN (Indicate a 1 Cttln�IW butlin6 e[[ectn)
HEAT k GAB LINE
PERMIT APPLICATION
Inside Heavy Lines
JOB
V
ADDRESS r;�j ` /
4f' / ` !-��
.)
NAME (OR NAME
OF BUSINESS)
-1 i/I
/%
N
(-
PERMISSIBLE e A TUAL q
LOT COVERAGE LOT COVERAGE
SWIMMING POOL
MAULRrt nf7Llyt\�
Be
T 1r1 vn l� P
1j
DEMOLITION
O
PERMISSIBLE HEIGHT PROPOSED HFi.IGHT
Q
RnI,I \AI
e
ACl'UAL LOT AREA TOTAL BLDG. AREA
Z
'I
CITY
" t`/ •+'
TELEFHOND NUMBER
EREQUIRED
YARDS PROPOSED YARDS
fY
TOTAL AMOUNT DUE
J
NAME
I hereby acknowledge that 1 have read this application; that the In-
FRONT SIDE REAR FRONT BIDE REAR
_
formation given le correct; and that I am the owner, or the duly author,
Ized agent of the owner. I agree to comply with city and elate law. sego-
i
LEGAL LOT VARIANCE OR CONDITIONAL USE
- IUj
ADDRESS
I] YES 13 NO PERMIT NUMBER
will be employed In violation of the Labor Code of the Slate of Washington
THUS PERMIT
This application is not a permit until
M
relating to Workmen's Compensation Ineurance.
AUTHORIZES
signed by the Building Official or his Dep -
PLANNING DEPT. APPROVAL/(/,,.2 - -DATE.
ONLY TILE
WORK NOTED
j
4•
CITY
TELEPHONE NUMBER
,,
91GNATURE (OWNER OR AGENT) DATE 816NED
(
INSPECTION
DEPARTMENT
DIREQ R'e SIGNATURE A
1 •, P\ I ; I '
STREET R/W
EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY.
0
1. r, d.!,t-•. �/ .A!.. -._—%-r,_.. t .%_, s/' ,/;i
NAME
COMP. PLAN 8T. R/W ............FT............. FT.
ED51ONDS
DATA V
(
1 rr
C (\1111�1'T�cn i� �
� Il
REMARKS
t0
(�(AIn
ADDI
,
`
Z
.i
W
IEj
CH1%KED 8
CITYTELEPHONE
NUMBER
/' %>i-
I
CJ
STATE LICENSE
NUMBER
CITY LICENSE NUMBER
METER SIZE SERVICE SIZE
I
CLEARANCE
I
I CPKED BY
_
REMARKSLegal
Description of Property (Show Below or Attach
Your Copies)
;
�nt
TYPE CONNECTION VERIFIED BY
P e
PERMIT NUM$FR
a
a
- 6
G
rd
so
VULI
7
FIRE ZONE TYPE OF CONSTRUCTIONIMPROVED
i
YES ❑ NO
SPECIAL INSPECTOR REQUIRED
GROUP
!'
RESIDENTIAL
GAS
�
❑ YES (] NO
IOCCUPANCY
EDNEW
LEE]RETAINING
LINE
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
NON-RESIDENTIAL
OF EDMONDS. LOCAL SALES TAX
El
REMARKS SHOULD BE CODED 31.04.
ElDEMOLISH
F] WALL
ALTER
EXCAVATE
FENCE
I'�=lli.i? i•i�!171; f"'�Illt?:'li '� -=+•-C1"IOIl I;'• 14.040
.
❑ OR FILL
(.........x..........Ft')
REPAIR
❑ INSP.
SWI I
❑ POOL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
y .: �...t .>...
y/
flan Check No .....................
Z
BUILDING
[yam
4 PROPOSED USE
a7,
PLUMBING
U _
PLOT PLAN (Indicate a 1 Cttln�IW butlin6 e[[ectn)
HEAT k GAB LINE
U
O
FENCE
V
SIGN
RETAINING WALL
N
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
., y C � � .S - ['
EXCAVATION OR FILL
-
TOTAL AMOUNT DUE
J
I
I hereby acknowledge that 1 have read this application; that the In-
_
formation given le correct; and that I am the owner, or the duly author,
Ized agent of the owner. I agree to comply with city and elate law. sego-
ATTENTION
APPLICATION APPROVAL
talks construction; and In doing the work authorised thereby, no person
will be employed In violation of the Labor Code of the Slate of Washington
THUS PERMIT
This application is not a permit until
relating to Workmen's Compensation Ineurance.
AUTHORIZES
signed by the Building Official or his Dep -
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TILE
WORK NOTED
uty, and fees are paid, and receipt is ac -
.half be completed In ninety days; GLOVED -IN BUILDINGS Shall be coin-
knOWledged in space provided.
pieted In nix months.)
91GNATURE (OWNER OR AGENT) DATE 816NED
(
INSPECTION
DEPARTMENT
DIREQ R'e SIGNATURE A
1 •, P\ I ; I '
�7�
1. r, d.!,t-•. �/ .A!.. -._—%-r,_.. t .%_, s/' ,/;i
CITY OF
NOTE: Applicant Subject to Plan Check Fee
ED51ONDS
DATA V
775-25251
Tine re hit corers woru to ne done on private property ON -
Any conetruethm os the public domain (curb., eIdCa dk., del-irs,
l maryue.e, etc.) u111 reeuire separate pennle.lon.
t
INSPECTOR
1
r
r�
i'
Y
, i
t
RECORD OF INSPECTIONS
Date Passed
f
Foundation
Plumbing (Partial)
!'
( Rough) li